The Coming Healthcare Revolution: Take Control of Your Health

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Sheldon Cohen M.D.. The Coming Healthcare Revolution: Take Control of Your Health

PREFACE

STEP 1: THE PREVENTION OF MEDICAL ERRORS

Introduction

Medication prescribing and use

Medication use during care transitions

Patient identification

Performance of correct procedure at correct body site

Communication failures during patient handovers

Control of concentrated electrolyte solutions

Catheter and tubing connections

Infection control

Diagnostic errors and failure to diagnose

STEP 2: THE COMPLETE MEDICAL EXAMINATION

The Medical History

Biographical Data

Chief Complaint

Present Illness

Past History

Family History

Habits

Social History

System Review

The Physical Examination

Vital Signs

Skin, Hair and Nails

Head

Eyes

Ears

Nose and sinuses

Mouth and Throat

Lymphatic System

Cardiovascular

Pulmonary

Gastrointestinal

Genitourinary

Gynecological

Musculoskeletal

Neurological

Laboratory Data

STEP 3: Risk Factor Analysis and Health Screening

Diseases of the heart (heart attack)

Cancer

Stroke (cerebrovascular disease)

Chronic lower respiratory disease (emphysema, chronic bronchitis)

Unintentional injuries (accidents)

Diabetes Mellitus

Alzheimer’s Disease

Influenza (Flu) and Pneumonia

Kidney disease (nephritis or nephrosis)

Septicemia (severe infection)

Suicide

Liver disease (chronic hepatitis, cirrhosis)

Essential Hypertension (high blood pressure)

Osteoporosis

Depression

Anxiety

SUMMARY. Patient responsibility. Summary list

STEP 4: SYMPTOMS NEVER TO IGNORE

BLOOD IN URINE (HEMATURIA)

BREAST CHANGES

BROKEN BONE AFTER SLIGHT FALL

CHANGE IN BOWEL HABITS (Diarrhea and constipation)

CHEST PAIN

CHEST PAIN ON INSPIRATION

CONVULSIONS

COUGHING UP BLOOD (HEMOPTYSIS)

DISCOMFORT ON EXERTION (CHEST…LEGS)

FLASHES OF LIGHT

FINGERNAIL CHANGES

FULLNESS AFTER EATING

HEART PALPITATIONS

HOARSENESS LASTING MORE THAN THREE WEEKS

HOT, RED, SWOLLEN, PAINFUL JOINT

IMPOTENCE

MENTAL STATUS CHANGE

MOLE CHANGE

MOUTH ULCER THAT HAS NOT HEALED IN THREE WEEKS

NEW HEADACHE OR CHANGE IN HEADACHE CHARACTERISTICS

NIGHT SWEATS

PERSISTENT FEVER

RECTAL BLEEDING

SHORTNESS OF BREATH WHEN LYING FLAT

SHORT TERM VISUAL LOSS

SKIN RASH (PETECHIAL)

STIFF NECK

SWALLOWING DIFFICULTY

SWOLLEN GLANDS LASTING MORE THAN THREE WEEKS

SWOLLEN TENDER CALF

TESTICULAR LUMP

VAGINAL BLEEDING

WAXY RING AROUND THE IRIS AND XANTHELASMA

WEIGHT LOSS

MEDICAL RESOURCES

WEB SITES FOR PATIENTS

BOOKS ON MEDICAL SUBJECTS FOR PATIENTS

APPENDIX 1. COMPUTERIZED MEDICAL HISTORY

APPENDIX 2. PAPER MEDICAL HISTORY QUESTIONAIRE

_____WHITE _____BLACK _____ORIENTAL _____OTHER

GRADE SCHOOL-HIGH SCHOOL-TRADE SCHOOL-COLLEGE- GRADUATE SCHOOL

APPENDIX 3. PERSONALIZED MEDICINE

Отрывок из книги

President Barack H. Obama

The White House

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If hospitalized, a nurse must check the patient’s identification wristband before dispensing medication. The failure to do this can not only lead to medication errors, but also testing errors, transfusion errors, and the discharge of infants to the wrong family.

Patients are often transferred from unit to unit within the hospital: regular room to intensive care; intensive care to regular room; acute care hospital to the rehabilitation unit; emergency department to intensive care or regular room; and so on. Medication errors occur during these transition points. This is a common occurrence and the cause of many medical errors.

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